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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343626300
Report Date: 03/07/2025
Date Signed: 03/07/2025 11:57:20 AM

Document Has Been Signed on 03/07/2025 11:57 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:SAHIBZADA, MARYAMFACILITY NUMBER:
343626300
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 6TOTAL ENROLLED CHILDREN: 6CENSUS: 0DATE:
03/07/2025
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Maryam SahibzadaTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Julia Maryanova met with Licensee Maryam Sahibzada for the purpose of for the purpose to increase facility capacity to the maximum number of 14 children. Licensee has requested to increase from a small family childcare to a large family childcare. Licensee's spouse and a minor child were present in the home during inspection. All individuals subject to criminal background review have obtained a criminal record clearance.

A health and safety inspection was conducted in all areas of the home. Off-limits areas are the bedroom on the right and garage. Licensee acknowledges that she must contact Community Care Licensing prior to making an off-limit area on-limits, and vice versa. A fire clearance was granted on 02/21/2025.

LPA discussed CCR Regulation 102416.5 regarding staffing Ratio and Capacity for a large license.

LPA discussed personnel requirements and records outlined in CCR Regulations 102416 and 102416.1.

Licensee understands that when an assistant is not present, she must comply with the capacity and ratio requirements for a Small Family Child Care Home.

Effective today, 03/07/2025, the facility is approved for a large capacity to serve 12 children (when there is an assistant present) with no more than 4 infants or capacity of 14 children when 1 child in kindergarten or elementary school and 1 child at least age 6 and a maximum of 3 infants. Infants are children under the age of two years.

This facility evaluation report was reviewed and discussed with the licensee, Maryam Sahibzada. A Notice of Site Visit was provided and should remain posted for 30 days for parental review.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Julia Maryanova
LICENSING EVALUATOR SIGNATURE: DATE: 03/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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